Active NPI
Yaser Mussa Jimenez, D.C.
- Chiropractor
- Altamonte Springs, FL
National Provider Identifier
1164575254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9295
- Practice address
- 685 Palm Springs Dr
Suite # 1C
Altamonte Springs, FL 32701-7853 - Phone
- (407) 332-7080
- Fax
- (407) 332-7079
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH9295 | FL | Primary |
| Chiropractor | 111N00000X | 504 | PR |
Addresses
Primary practice location
685 Palm Springs Dr
Suite # 1C
Altamonte Springs, FL 32701-7853
Mailing address
685 Palm Springs Dr
Suite # 1C
Altamonte Springs, FL 32701-7853
Phone (407) 332-7080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9295 | FL | MD | Chiropractor |
| 504 | PR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Chiropractic and Wellness L L C | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Altamonte Springs, FL
- NPI 1912843368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1164575254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 PALM SPRINGS DR",
"address_2": "SUITE # 1C",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327017853",
"telephone_number": "407-332-7080",
"fax_number": "407-332-7079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 PALM SPRINGS DR",
"address_2": "SUITE # 1C",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327017853",
"telephone_number": "407-332-7080",
"fax_number": "407-332-7079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSSA JIMENEZ",
"first_name": "YASER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9295",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "504",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.